Dental Care Specialties Pc | |
366 Cooley St Springfield MA 01128-1144 | |
(413) 783-0452 | |
(413) 783-0836 |
Full Name | Dental Care Specialties Pc |
---|---|
Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
Location | 366 Cooley St, Springfield, Massachusetts |
Authorized Official Name and Position | Joanne Tavano (CFO) |
Authorized Official Contact | 9785801524 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Dental Care Specialties Pc 5 Mount Royal Ave Ste 300 Marlborough MA 01752-1900 Ph: (413) 783-0452 | Dental Care Specialties Pc 366 Cooley St Springfield MA 01128-1144 Ph: (413) 783-0452 |
NPI Number | 1952937245 |
---|---|
Provider Enumeration Date | 03/18/2020 |
Last Update Date | 09/30/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1952937245 | NPI | - | NPPES |
20209 | Other | MA | LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Secondary |
1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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